Keywords
orthopaedic surgery
clinics
How to Cite
Abstract
The one-stop clinic is a novel and effective way for diagnosing and treating patients with minor orthopaedic problems requiring intervention on the same day. This programme is meant to reduce the cost of using the hospital resources, in terms of the operating theatres, staffing costs and the time lost in waiting lists. We have provided this service in our orthopaedic department since January 2009. A total of 348 patients have been seen in the one-stop clinic on the day surgery unit, of which 251 patients underwent surgical intervention
under local anaesthetic on the same day. These included 65 carpal tunnel decompressions, 49 ganglion excisions, 68 needle fasciotomies for dupuytren contracture, 40 trigger finger releases, 27 excisions of nodules on fingers, and one ingrowing toenail treatment. Seven patients refused treatment, and six required further investigations. Nine patients refused to
have treatment done on the same day. 18 patients did not attend clinic, and in 39 patients no intervention was required at the time of review.
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